School principal dies during root canal treatment...

[Cold Front]

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[I'mFillingFine]

Do a lot of endodontists use sedation?

 

[djeffreyt]

Hmmm, why is it that these cases always seem to happen when the dentists already have a shady or recent problem in their past. You never seem to hear about the dentist with a totally outstanding and superb record, who is loved by all his or her patients who suddenly has an unforseen mishap or crisis happen.

 

[dentwannabe]

Dude's got a neon sign "ALL DENTISTRY PROCEDURES" and somebody changed his "DENTISTS" sign to "DENTIST$"

 

[armorshell]

I like how they asked the head of the endo department what happened, as if it were the procedure that caused the problems.

 

[Dukie]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

 

[DrJeff]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

More likely is the patient was NERVOUS about the concept of having a root canal and opted for some sedation as a means to make the experience "easier" on themselves.

I have many patients that inquire about sedation for many different procedures, from simple fillings to multiple extractions. Personally I'm not a big fan of oral sedation just simply because it's not a titratable process. *Most* of the time, oral sedation is a safe proceedure as long as you take the steps to ensure its safety (proper history, proper monitoring, etc). If I have a patient that needs sedation for a proceedure, I'm having the dental anesthesiologist that serves my area come to my office, administer IV conscious sedation for me while fully monitoring my patient for me.

As for the root canals should be done by a specialist line, well that's an entirely different story for debate, but lets just say that many, many, many GP's do some mighty fine endo

 

[SeaBass]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

I invite you to re-read this post 5 years from now.

 

[aphistis]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

I second the invitation.

 

[toofshucker]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

Easy to say now. Wait until you actually have an office and patients and then tell us your opinion.

 

[toofshucker]

I like how they asked the head of the endo department what happened, as if it were the procedure that caused the problems.

I am completely amazed at the amount of pics that you come up with...Cracks me up....Good work soldier.

 

[Soflex]

I like how they asked the head of the endo department what happened, as if it were the procedure that caused the problems.

Armorshell, I luv the new avatar!

 

[shabu2]

WOW, as one of my attendings would say, "a thousand at-a-boys is erased with one oh sh1t" This kind of press does wonders for dentistry.

 

[TucsonDDS]

More likely is the patient was NERVOUS about the concept of having a root canal and opted for some sedation as a means to make the experience "easier" on themselves.

I have many patients that inquire about sedation for many different procedures, from simple fillings to multiple extractions. Personally I'm not a big fan of oral sedation just simply because it's not a titratable process. *Most* of the time, oral sedation is a safe proceedure as long as you take the steps to ensure its safety (proper history, proper monitoring, etc). If I have a patient that needs sedation for a proceedure, I'm having the dental anesthesiologist that serves my area come to my office, administer IV conscious sedation for me while fully monitoring my patient for me.

As for the root canals should be done by a specialist line, well that's an entirely different story for debate, but lets just say that many, many, many GP's do some mighty fine endo

Do you feel that IV conscious sedation is a service that many patients would use? Also if you don't mind I have a couple of questions about the finances of it. Do you charge the patient or does the Anesthesiologist bill the patient. Is there a decent profit margin on it for you the practioner or does the person providing the anesthesia make the profit? I am just currious if it is worth it to get certified for IV sedation or if it is better to just have someone else come in to do it. I do feel confident in my abilities to manage an airway and have been involved in many many sedations in the past 10 years but is it actually worth it to be certified and to offer it to the patient?

 

[12YearOldKid]

Sad story, but not at all clear whey this sedation was necessary for a simple RCT. My guess is the dentist was looking for easy money for the sedation. Yet one more reason root canals should be referred to a specialist.

At least you're anonymous.

 

[Dukie]

More likely is the patient was NERVOUS about the concept of having a root canal and opted for some sedation as a means to make the experience "easier" on themselves.

I have many patients that inquire about sedation for many different procedures, from simple fillings to multiple extractions. Personally I'm not a big fan of oral sedation just simply because it's not a titratable process. *Most* of the time, oral sedation is a safe proceedure as long as you take the steps to ensure its safety (proper history, proper monitoring, etc). If I have a patient that needs sedation for a proceedure, I'm having the dental anesthesiologist that serves my area come to my office, administer IV conscious sedation for me while fully monitoring my patient for me.

As for the root canals should be done by a specialist line, well that's an entirely different story for debate, but lets just say that many, many, many GP's do some mighty fine endo

Yes, you are surely right about the anxiety factor. That being said, I think that sedation is done far more often than is necessary. Not to downplay patients' fears in any way, but sedation should be reserved for either the truly anxious patient or for very extensive work.

I am sure those of you who criticize (like Bill, for a change) may be correct. Perhaps my opinions will change down the road. I would appreciate if you tried to be a civil and kind person for once, however. Shock us all.

Lastly, I didn't mean to criticize GP's in any way. I agree many can perform nice endo work. I just think many people get in over their heads performing procedures that are beyond them (whether it is endo, OMFS, prosth, etc). All that being said, this is still tragic.